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309827 3/31/17 N L N E N E .a L MO W 61) U- 0 a� L , 0 0 W D U N Z ~ r4 co 0 17 T7 s z N N Z OL p 0 a Of z — .2 w OWC = a 3 W L0 4 t z > a N g _ t0 U U co W Of Na v o (D a 0 Q Q o ~ v m 5Wv d O z a� > U C *k U' Z N. z c 0 -0 W _ > 3 W v Z Q J („� 0 z c U W a .. - co Z Ix Ix zo E ccriX tU 0 a U a IIIIII VIII VIII VIII VIII VIII IIII IIII Page 1 of RUNYDN 470 West Carmel Drive Status: Closed Invoice#: 421699-1 EQUIPMENT F.&NTAL Carmel,IN 46032 Invoice Date: Fri 3/17/2017 1-800-276-Tool(8665) www.runyonrental.com Date Out: Fri 3/17/2017 10:29AM 317-566-8888 Phone "Don't be a tool-Rent one" 317-666-2990 Fax Operator: JOEL PROCHNOW Customer#: 1101 Terms: On Account CARMEL WATER 317-733-2865 Phone 317-733-2053 Fax 3450 W.131ST STREET CARMEL,IN 46074 Open Monday-Friday 7:00am-5:30pm,Saturday 7:00am-4:30pm,Sunday 9:00am-3:00pm Picked up by: COOKSEY, SHAWN Salesman: NONE Qty Key Items Returned Date Status Ea.hPrice 1 101-1 PROPANE 30 POUND REFILL Pulled $24.18 $24.18 Thank You for your Business Rental Contract You understand that:(a)it is unauthorized for me to lend the Rented Item(s)to any other person,(b)THE RENTED ITEM(S) IS/ARE FULL OF FUEL AND MUST BE RETURNED AS SUCH OR ADDITIONAL CHARGES WILL APPLY(c)use of alternative fuels(e.g.Biodiesel,E85,etc.)in Rented Item(s)is prohibited and you are responsible for all damages and repairs resulting from Sales: $24.18 aftemative fuel;(d)no electrical tools are supplied with safety grounded plugs for use in grounded outlets(except for double-insulated safety-approved tools),and you are responsible for not cutting off the ground lug;(d)Runyon is authorized to charge my debit or credit card for all amounts coming due hereunder,including for damage to the Rented Item(s)which is discovered after the Rented Item(s)have been returned;and(e)labor rate is charged at$85.00 per hour. X (Initial) I have been instructed and demonstrated on the safe and proper operation of the above equipment,and I fully understand those instructions. X (Initial) I have provided Runyon with proof of insurance(insurance that covers all damage to or loss of Equipment)and am declining the Subtotal: $24.16 Equipment Protection Plan(Damage Waiver)as described on the back of this Contract.x (Initial) The undersigned has carefully read and fully understands the Terns and Conditions on the back of this Contract and personally guarantees the Customer's prompt payment and performance of its obligations arising under this Contract. Printed Name: Total: $24.18 Paid: $0.00 Signature: COOKSEY,SHAWN Amount Due: $24.18 WE ARE NOT RESPONSIBLE FOR DAMAGE DONE WHEN LOADING/UNLOADING EQUIPMENT. IIII11111 11111111 IN Page 1 of 1 Status: Closed RU NYON 410 West Carmel Drive Invoice#: 421699-1 EQUIPMENT RENTAL Carmel, IN 46032 Invoice Date: Fri 3/17/2017 1-800-276-Tool(8665) www.runyonrental.com Date Out: Fri 3/17/2017 10:29AM 317-566-8888 Phone "Don't be a tool-Rent one" 317-566-2990 Fax Operator: JOEL PROCHNOW us omer'#:fT6f--� Terms: On Account CARMEL WATER 317-733-2855 Phone 317-733-2053 Fax 3450 W. 131ST STREET CARMEL, IN 46074 Open Monday-Friday 7:00am-5:30pm, Saturday 7:00am-4:30pm, Sunday 9:00am-3:00pm -------_------------ Picked up by: COOKSEY, SHAWN Salesman: NONE Qty ( Key Items Returned Date Status Eachl Price 1 ;101-1 PROPANE 30 POUND REFILL Pulled( $24.18 $24.18 Thank You for your B e Rental Cont ct You understand that:(a)it is unauthorized for me to lend the Rented Items) E RENTED ITEM(S) IS/ARE FULL OF FUEL AND MUST BE RETURNED AS SUCH OR ADDITIONAL CHARGES WILL APPLY(c)use of alternative fuels(e.g.Biodiesel,E85,etc.)In Rented Item(s)is prohibited and you are responsible for all damages and repairs resulting from Sales: $24.18 alternative fuel;(d)no electrical tools are supplied with safety grounded plugs for use in grounded outlets(except for double-insulated safety-approved tools),and you are responsible for not cutting off the ground lug;(d)Runyon is authorized to charge my debit or credit card for all amounts coming due hereunder,including for damage n the Rented Item(s)which is discovered after the Rented Item(s)have teen returned;and(e)labor rate is charged at$8'.00 per hour. X (Initial) -----------,: I have been instructed and demonstrated en the safe and proper ope of the above equipment,and I fully understand those instructions. X (Initial) I I have provided Runyon with proof of insuran u),s_urance that vers all amage to or los::of Equipment)and am declining the Subtotal: $24.18 Equipment Protection Plan(Damage er)as dei ribed o he back o this Contract.x (Initial)The undersigned has carefully res nd fully understa ds t Terms and onditions on the back of this Contract and personally guarantees the Customer's pro t payment and perfo ce of its obli ations arising undFr this Contract. Printed Name: i Total: $24.18 Paid: $0.00 ' Signature: OKSEY, SHAWN Amount Due: $24.18 , WE CHARGE FOR TIME OUT,NOT TIME USED. YOU ARE RESPONSIBLE FOR ALL TIRES,FUEL AND ELECTRIC CURRENT. RENTAL FEES DO NOT APPLY TO PURCHASES. NO ADJUSTMENTS OR CREDITS will be made on equipment malfunctions unless Runyon has been notified. A LARGER-FONT VERSION OF THIS CONTRACT IS AVAILABLE UPON REQUEST.